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RACHAEL ANN GILBERT APRN
NPI 1427680974
Nurse Practitioner in Corbin, KY

Active since February 12, 2020PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1 TRILLIUM WAY, CORBIN, KY 40701(606) 523-1934 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2020, Feb 12, 2020 (2 updates tracked since 2020).

About Rachael Ann Gilbert Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHAEL ANN GILBERT APRN (NPI 1427680974) is an individual nurse practitioner in Corbin, Kentucky, licensed in Kentucky (3014283) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427680974
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHAEL ANN GILBERTCredential: APRN
Location Address1 TRILLIUM WAYCorbin, KY 40701-8727
Mailing AddressPo Box 2623London, KY 40743-2623 · (606) 224-7542
Phone(606) 523-1934
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 12, 2020
Last NPPES UpdateDecember 9, 20202 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1427680974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3014283
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1 TRILLIUM WAY, Corbin, KY 40701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachael Ann Gilbert Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254761406
PECOS Enrollment IDI20200430002509
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
185 services108 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
51 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAZHAR SALIM M.D.
Psychiatry & Neurology (Psychiatry)
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 523-8779
COMMONWEALTH UROLOGY, PSC
Urology
1 TRILLIUM WAY, GROUND FLOOR ENTRANCE 5
CORBIN, KY 40701
Whitley County (606) 523-8770
KAYLA ALEXIS SMITH PHARMD
Pharmacist
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 523-1934
BENJAMIN C FOSTER CRNA
Nurse Anesthetist, Certified Registered
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 528-1212
DR. SWATI YALAMANCHI M.D.
Internal Medicine (Hematology & Oncology)
1 TRILLIUM WAY, BAPTIST HEALTH CANCER CENTER
CORBIN, KY 40701
Whitley County (606) 523-1934
MARIAH JEAN JACKSON-ARNETT MD
Emergency Medicine
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 528-1212
JACQUELYNE ANNE FRIEBIS PA-C
Physician Assistant
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 528-1212
DEBRA L ANDERSON
Social Worker (Clinical)
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 523-8521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachael Gilbert's NPI number?

The NPI number for Rachael Gilbert is 1427680974. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Rachael Gilbert located?

Rachael Gilbert practices at 1 Trillium Way, Corbin, KY 40701. The listed phone number is (606) 523-1934.

What is Rachael Gilbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachael Gilbert enrolled in Medicare?

Yes. Rachael Gilbert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rachael Gilbert accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Rachael Gilbert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rachael Gilbert affiliated with any hospitals?

According to CMS data, Rachael Gilbert is affiliated with Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Rachael Gilbert was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.